Displaying 149941-149950 of 1611142 results.
ID:
149941
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149942
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149943
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149944
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149945
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
152
Qty Limit Days:
30
ID:
149946
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149947
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149948
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149949
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149950
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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